scholarly journals Nutrition and Lifestyle Factors Associated with Inflammatory Bowel Disease

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Tamara Qalqili ◽  
Yaser Rayyan ◽  
Reema Tayyem

Many dietary and lifestyle factors are found to be associated with the pathogenesis of IBD. The purpose of this study is to review the dietary and lifestyle factors associated with IBD. Several studies in IBD were discussed, and highlighted the independent effects of various dietary and lifestyle factors on the risk of IBD. IBD is chronic relapsing intestinal inflammatory disease characterized by complex interactions of multiple factors including smoking, major life stressors, diet and lifestyle.  This paper attempts to investigate the association between dietary patterns and IBD risk and compare lifestyle factors among IBD patients. Dietary factors tend to play a pivotal role in the disease etiopathogenesis and course. However, research on food and IBD is contradictory. An excessive intake of sugar and animal fat is considered a risk factor for the development of IBD, whereas a high fiber diet and high intake of fruits and vegetables may play a protective effect.  The role of lifestyle factors in IBD is crucial. Amply of evidence suggested that smoking is a causative agent in CD while it is protective against UC. Stress, depression, vitamin D deficiency and impaired sleep have all been all associated with incident IBD. A diet with a modified carbohydrate composition, a semi-vegetarian diet, a diet low in protein and fat and a diet low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols should be taken into consideration for IBD patients.

2021 ◽  
Vol 25 (1(97)) ◽  
pp. 132-137
Author(s):  
I. Rusnak ◽  
N. Slyvka ◽  
V. Kulachek ◽  
Y. Kulachek

In the treatment of hypertension, an important role is played by the modification of the lifestyle of patients, especially the correction of their diet. Plant nutrition has the ability to improve blood pressure in such patients. However, a large number of types of vegetarian diets leave open the question of which of them is the best in the treatment of arterial hypertension.The aim of the study was to analyze the literature on the effectiveness of different plant-based diets in the treatment of hypertension and to determine whether the complete absence of animal products in a vegetarian diet is necessary to achieve a significant beneficial effect on blood pressure. The paper analyzes the data of many scientific studies and meta-analyses: the team of scientists from the University of Warwick; Dietary Approaches to Stop Hypertension (DASH) research group; a prospective study of coronary risk in young adults (Coronary Artery Risk Development in Young Adults, CARDIA); analysis of three prospective cohorts - Nurses 'Health Study I (NHS I), Nurses' Health Study II (NHS II), and Health Professionals Follow-up Study (HPFS); calibration sub-study Adventist Health Study-2 (AHS-2). The most common plant-based diets and their effect on blood pressure were analyzed: high-fruit and vegetable diet, high-fiber diet, Nordic, lacto-ovo-vegetarian, Mediterranean, vegan and DASH diets. All scientists confirm a positive correlation between the consumption of animal meat and the risk of developing hypertension and/or difficulties in its treatment.Conclusion. The study of literature data allows us to conclude about the important role of plant foods in the prevention and treatment of hypertension. The best results in lowering blood pressure were demonstrated by diets with a complete absence of animal products.


Author(s):  
Paul Branscum

Obesity is a major public health concern, with low consumption of fiber-rich foods (e.g., fruits and vegetables) commonly cited as a causal factor. The purpose of this study was to evaluate the validity of a survey measuring the constructs of the Reasoned Action Approach under the context of consuming a high-fiber diet. After an initial draft of the survey was developed, it was evaluated by a panel of six experts to establish face and content validity. Next, data were collected from an adult sample (n = 878), and psychometric data revealed indices of reliability (Cronbach’s alpha) and validity (confirmatory factor analysis). The average age of adults was 51.5 years (±12.8), and a majority were Caucasian (81%), and women (93%). With regards to construct validity, the model structure had adequate fit (e.g., Comparative Fit Index = 0.960). In addition all items loaded significantly on its corresponding scale. For internal consistency reliability, all Cronbach’s alpha scores were > 0.70. Overall the survey appears to be a promising tool for researchers and practitioners. Understanding the theoretical determinants of fiber consumption will help tie theory together with practice.


Author(s):  
Ramadevi Kundur ◽  
Kalyan Viswanath Reddy Lingala ◽  
Abeer Rawaf Moayd Alrshedi

Objective: The aim of this study is to assess the prevalence of functional gastrointestinal disorders (FGIDs) among the women population of the Ha’il region in Saudi Arabia. It also includes the analysis of the effect of dietary factors on FGIDs and to evaluate if any significant correlation exists between the type of diet and FGIDs.Methods: A cross-sectional study was conducted at the Maternity and Children’s Hospital and Ha’il General Hospital in the Ha’il Province of Saudi Arabia with 501 random women patients who had visited these hospitals. Data were collected through a questionnaire and analyzed using the statistical program SPSS-21.Results: In this study, 50% of the women population in Ha’il had at least one of the FGIDs. Acidity (14.4%) is the prominent FGID followed by gas (11.8%) and abdominal pain (11.4%). The FGIDs increase with age, irrespective of dietary factors. Gas formation was observed to be significantly correlated with age (p<0.05), and unhealthy diet was highly correlated to acidity (p<0.01) and gas formation (p<0.01).Conclusion: FGIDs were observed to be considerably lower if a healthy diet was maintained at least up to 40 years of age. High fiber and protein-rich diet along with fresh fruits and vegetables are known to reduce FGID symptoms to a great extent; hence, dietary changes along with physical activity could help reduce the occurrence of FGIDs.


2021 ◽  
Author(s):  
Patience Annet Nakalega ◽  
Levicatus Mugenyi ◽  
Lilian Nuwabaine ◽  
Mathius Amperiize ◽  
Barbara Kirunda Tabusibwa

Abstract Background Hypertension is an important worldwide public-health challenge because of its high prevalence and for being a risk factor for cerebrovascular, cardiovascular and chronic renal disease. Despite these risk factors, blood pressure control among hypertensive patients is still poor. Objectives To assess dietary and lifestyle factors associated with uncontrolled blood pressure control among a series of Ugandan hypertensive patients under care at a Kiruddu hospital.Methods A cross sectional study involving 271 adult hypertensive patients attending general outpatient hypertensive clinic were enrolled. We collected data on dietary and lifestyle factors, social demographics, BMI, comorbidities, and adherence to hypertensive medication. Dietary factors were based on recommended DASH diet including nine food items salt; grains; fruits; vegetables; nut/seeds, and legumes; dairy; meat; fat; and sweets. Questionnaires on alcohol intake, smoking status and level of physical activity were also administered. An average of the previous two Blood pressure readings were recorded while weight and height were measured for each subject at enrolment. Factors associated with uncontrolled blood pressure (>140/90mmHg) were assessed using a multivariate logistic regression model.Results The mean age of study participants was 57 years (SD ± 0.76 years), with female dominance (77.9%). Among the study participants, 121 (44.7%) had uncontrolled BP. Dietary factors that remained significantly associated with uncontrolled blood pressure with adjusted OR (95%CI) included consumption of raw salt: 4.18 (1.32-13.24) and inadequate fruit consumption (less than 7days/week): 2.18 (1.26-3.75) while clinical factors included being overweight: 2.51 (1.27-4.95) and poor adherence to antihypertensive medications prescribed: 1.82 (1.03-3.21).Conclusion The proportion of hypertensive patients with uncontrolled BP was high (44.7%). Consumption of raw salt, inadequate fruit consumption being overweight and poor adherence to antihypertensive medication were significantly associated with uncontrolled BP. From these findings, many of the factors that impact on the control of blood pressure are fortunately modifiable.


Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1263 ◽  
Author(s):  
Aleix Cases ◽  
Secundino Cigarrán-Guldrís ◽  
Sebastián Mas ◽  
Emilio Gonzalez-Parra

Traditional dietary recommendations to renal patients limited the intake of fruits and vegetables because of their high potassium content. However, this paradigm is rapidly changing due to the multiple benefits derived from a fundamentally vegetarian diet such as, improvement in gut dysbiosis, reducing the number of pathobionts and protein-fermenting species leading to a decreased production of the most harmful uremic toxins, while the high fiber content of these diets enhances intestinal motility and short-chain fatty acid production. Metabolic acidosis in chronic kidney disease (CKD) is aggravated by the high consumption of meat and refined cereals, increasing the dietary acid load, while the intake of fruit and vegetables is able to neutralize the acidosis and its deleterious consequences. Phosphorus absorption and bioavailability is also lower in a vegetarian diet, reducing hyperphosphatemia, a known cause of cardiovascular mortality in CKD. The richness of multiple plants in magnesium and vitamin K avoids their deficiency, which is common in these patients. These beneficial effects, together with the reduction of inflammation and oxidative stress observed with these diets, may explain the reduction in renal patients’ complications and mortality, and may slow CKD progression. Finally, although hyperkalemia is the main concern of these diets, the use of adequate cooking techniques can minimize the amount absorbed.


Author(s):  
Noorallah Jaber ◽  
Marwa Oudah ◽  
Amer Kowatli ◽  
Jabir Jibril ◽  
Inbisat Baig ◽  
...  

Introduction: Dyspepsia is a common gastrointestinal diseases worldwide with a prevalence ranging from 7 to 40%. Dyspepsia, more commonly known as heartburn or indigestion, is defined as one or more of the following symptoms: postprandial fullness, early satiation (the inability to finish a normal size meal), or epigastric pain or burning for at least 3 months in the past year. Dyspepsia has been studied extensively, but little is known of factors associated with dyspepsia among medical students.Objectives: The purpose of this study was to analyze the prevalence of dyspepsia and to evaluate the association between lifestyle and dietary factors associated with dyspepsia among pre-clinical medical students in Ajman, United Arab Emirates.Methods: A cross-sectional survey study was conducted among pre-clinical medical students at Gulf Medical University, Ajman and collected basic demographic data, dyspepsia prevalence, dietary factors, and lifestyle factors. Data was analyzed using Microsoft Excel and SPSS software. Descriptive statistics were used to summarize the participant characteristics. Chi-square tests were used to test the association between dietary and lifestyle factors and dyspepsia. Logistic regression was used to measure the association of predictors (dietary and lifestyle factors) on the odds of having dyspepsia, independently. Multinomial logistic regression was used to examine the full association of predictors on the odds of having dyspepsia.Results: The resulting sample was 176 pre-clinical medical students, with a mean age of 20.67 ± 2.57 years. A total of 77 (43.8%) respondents reported having dyspepsia while 99 (56.2%) did not. There was a significant association between smoking and dyspepsia (p<0.05), as well as a marginally significant association between inadequate sleep and dyspepsia (p<0.10). There was no significant association with alcohol or analgesic use on dyspesia. Dietary habits showed no association with dyspepsia.Conclusion: Dyspepsia was reported by 43.8% of the repondents. These findings emphasize the importance of improving lifestyle and dietary factors associated with dyspepsia and raising awareness of reducing risk factors associated with dyspepsia. Further studies are needed on dyspepsia in a larger cohort of students in order to fully understand the complexity of this problem and be able to generalize the findings to other cohorts.


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